Organization
GOLD STAR PRIVATE ACADEMY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTE WAHLQUIST (FUNDING SPECIALIST/ADMINISTRATOR)
(850) 601-5075
Entity
Organization
Contact information
Practice address
12008 NW STATE ROAD 20, BRISTOL, FL 32321-3417
(850) 601-5075
Mailing address
12008 NW STATE ROAD 20, BRISTOL, FL 32321-3417
(850) 601-5075
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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